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Individual
MATTHEW R AMMONS
Active
Individual
MATTHEW R AMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305205974
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538396213
—
VA
01
—
192967
BCBS (PHYSICAL THERAPY)
VA
01
—
247660
BCBS (PHYSICAL THERAPY)
VA
01
—
9655354
AETNA
VA
01
—
P00733185
RAILROAD MEDICARE
VA
Enumeration date
06/19/2009
Last updated
04/01/2024
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